Chapter 363: Group

Chapter 363
"Burn infection is currently the main factor that threatens the lives of patients. The three military region hospitals in China have given reference guidelines. 52% of burned patients died of infection, and the Cincinnati Burn Center reported that a large number of burned patients died of infected wounds. It accounts for 75%. "Zhang Fan opened his mouth. These data came from the liver when he turned to dermatology.
Medicine is a science, and when it is impossible to persuade the other party during surgery or treatment, it can only rely on data. If these data are not specially prepared, it is very difficult for ordinary doctors to come and open their mouths. The data is not necessary for treatment. This is the difference between doctors and scholars. Things in the world are so nonsense. I want to be a doctor. It's really not easy.
"This has nothing to do with the use of antibiotics against anaerobic bacteria. I think that the use of anti-anaerobic bacteria in this triple antibiotic is wasteful, not only occupying the channel, but also easily causing drug resistance." The doctor at the military hospital directly interrupted Zhang Fan's words.
The battle of ideas seems to be very mild. In fact, a little careless sword can be deadly. Grab a point, you can directly overthrow all of you, and then just push back responsibility.
The matter of life and death, a little thing can magnify to the point that ordinary doctors can't bear, let alone the wounded is still a hero.
Ouyang felt wrong. She turned to look at the doctor in her hospital. The meaning was clear. She knew Zhang Fan. Surgery was very powerful, but the internal medicine was general. Zhang Fan, a cardiology doctor, was about to collapse.
And she knew too much about this kind of thing. A little carelessness was endless. She was worried that Zhang Fan was too young, and some things were not so simple.
A unit, especially a medical unit, is very united if there is no special competition. You help me, I help you, walking slowly and carefully in this special industry.
The director of the respiratory department, Jumabek, was about to speak. Zhang Fan nodded to him, motioned him to wait a moment. Zhang Fan then continued: "There must be bacteria in rot! Although most burns are bacilli. However, after using spectral antibiotics, the effect is still not obvious. Why? It is because of the omission of anaerobic bacteria."
"Do you have any basis for saying this? Is there any laboratory data? Where does this come from? This is treatment, this is human life, not yours." One of the doctors in the army started to go online.
In fact, how to say this, the burn department in China has taken too many detours. Compared with other departments, this discipline is not easy.
In the early years, the European and American blockades, especially those related to war, really did everything to the tightness of our blockade. In that year, a large number of soldiers were burned during a war in the south of our country.
The entire medical system, especially the military medical system, can be regarded as a successor to succession. Various ways of thinking can be said to be extremely useful.
For example, a full debridement was performed. After the wounded was admitted to the hospital, a number of surgeons were assembled to comprehensively debride the patient. The result was still not acceptable, and the infection was still the same.
Then there is aseptic isolation. Quite strict aseptic isolation. Medical personnel entering the ward must bathe, wear isolation clothing, chewing gum containing bacteriostasis, a stroke and a piece of paper entering the ward are strictly sterilized. The infection continued.
These are human lives! Verification of the lives of countless soldiers.
"Hehe!" Zhang Fan smiled expressionlessly. Does he really want to say it is necessary? Is it necessary?
"First of all, there are various kinds of bacteria in the human body. The bacteria that did not cause disease have become pathogenic bacteria under such a large area of ​​trauma. Why do we not achieve the expected results after using a large number of broad-spectrum antibiotics? It ’s because of anaerobic bacteria. After the U.S. military's war in Afghanistan, their Telplitz Research Center made it clear that the first time burns are antibacterial, antibiotics must first be used against anaerobic bacteria. "
Fan Zhang directly threw out the results in the system. Infection is a large part of the surgical system. Zhang Fan did not know how many times he looked at the basics of liver surgery. Zhang Fan's step-by-step improvement is really not in vain.
"This, but at present there is a lot of controversy and it takes up such a valuable liquid channel. I think it is open to question." The military doctor's tone that questioned immediately dropped several grades. There was no way, the other side was too livery, such a niche journal He can wade, he has nothing to say.
This kind of journal also takes a look at the doctors in the army scald department, because the medical industry still has a first aid for the battlefield, and the Telplitz Center is just a small center for the US military to study the battlefield scald. He also read it, so he couldn't speak. .
The director of the Burns Department of the General Hospital was also surprised. There were not many doctors who could look at such journals in their hospitals. After all, the war seemed to be far away.
The doctors in Chasu City have hardly ever heard of this center, but this does not prevent them from being proud! Ouyang's frown slowly opened, and her mouth began to lift slightly, proud! Zhang Fan didn't embarrass her, and he didn't let her take her lead.
"It seems that Dr. Zhang has a good idea! What's next. Can you ensure that the patient has passed the bacterial outbreak?" The director of the scalding department of the general hospital spoke, pointing directly at the point.
Zhang Fan couldn't speak out. The treatment, especially this kind of antibacterial treatment, has too many factors unexpectedly. Even if it is 99% chance, it can't be guaranteed to be safe. Besides, this treatment can't reach such a high proportion at present.
"Even without anti-anaerobic treatment, can you ensure that patients can survive this dangerous period? Is the spectrum antibiotic of non-anaerobic bacteria correct?" Ouyang said directly without the voice of the other party.
"However, our army is currently such a treatment plan."
"Nothing is right! Can you ensure that the wounded can survive the dangerous outbreak?"
This has become an incontrovertible argument, meaning or meaningless? I don't know, but Zhang Fan can be sure that no one can convince anyone.
"Well, let's not discuss this issue, what now?" The director of the General Hospital's face flushed.
"Huh!" Debate, especially this ideological or inconclusive route, Ouyang did not know how much she had experienced when she was young. The director of the General Court was her opponent.
"The patient is lying on the hospital bed, I understand the mood of the doctor, but this is not the time to discuss this matter. Now, I order." Ouyang beat back, the old lady was really strong, her brain was sharp, and most people were not opponents. . After she seized the initiative, she immediately started ordering, without giving you a chance to breathe.
With this remark, all the doctors in Chasu City Hospital stepped forward and listened with full attention. The doctors in the General Hospital did not hesitate, but they had to perform. There was no way, not because the national army did not work hard, but because the other party was too cunning.
"I am the team leader, the director of the scald department of the General Hospital, and the dean of the Stone Town Hospital as the deputy team leader.
The director of the Chasu Dermatology Department and the deputy high doctor of the General Hospital's Scalding Department led the Deputy Dean of Stone City, his ICU director, and the head nurse as the first group to fully monitor the patient's skin and life status, 24-hour monitoring.
The director of the Chasu Respiratory Department, the director of the heart, and the doctors of the General Hospital are the backup groups. They comprehensively and accurately synthesize the patient's condition in a timely manner, estimate the patient's condition, adjust the treatment at any time, and stand by 24 hours.
Zhang Fan led the other staff to prepare for the second group, ready for operation 24 hours a day. "
After speaking, Ouyang looked at everyone present and continued, "Now, shelve the controversy and go all out. As the leader of my current post, I will give you a shot, if anyone is not in the rescue period, To shirk responsibility, no matter what system you are in, I will never give up.
The hero lying on the bed has paid such a great price. As doctors, as the last and only hope doctor, we must not make him chill. Get started! "
In white coats, everyone put on the white coats of Stone Town Hospital and entered their respective posts.
"Heart rate, pulse, and blood pressure were recorded every ten minutes. Hormones were added to increase the amount of colloid rehydration." The figures in the ICU were shaking, and the families of firefighters thousands of miles away set off with the help of the local government.
Silent tears scattered across this thousand miles.
(End of this chapter)